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1164107942
HEIDI BLACKHAM
HERRIMAN, UT
NPI
1164107942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2023-06-19
Last Update Date
2023-06-19
Business Address
HEIDI BLACKHAM CCC-SLP
13147 S BILSTON LN
HERRIMAN, UT 84096-2173
Phone number: 224-625-0633
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Mailing Address
HEIDI BLACKHAM CCC-SLP
13147 S BILSTON LN
HERRIMAN, UT 84096-2173
Phone number: 224-625-0633
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